For Medical Practitioners
A direct line for clinicians, not the front desk.
We see consistent positive results because our process is guided by the functional medicine, biological dentistry, and veterinary communities, and prioritizes the mold-health connection. This intake form goes directly to our practitioner liaison.
Who this form is designed for
If you are a healthcare practitioner whose patients may be affected by their indoor environment, this is the right starting place. Tell us about your practice and we'll respond personally.
Functional Medicine
MDs, DOs, NDs, NPs treating CIRS, MCAS, and chronic-inflammatory patients.
Biological Dentistry
Holistic dental practices serving environmentally sensitized patients.
Veterinary Practice
Integrative veterinary practices supporting animals as environmental sentinels.
Allied Practitioners
RNs, therapists, allergists, pulmonologists, and other clinical roles.
Why Clinicians Trust Us
We don't perform remediation. That's the point.
Our reports are accepted by CIRS-literate physicians, attorneys handling environmental cases, and insurance adjusters because we have no financial incentive to find what isn't there, or to miss what is.
We assess. We document. We guide remediation by independent contractors and verify their work. Your patients receive defensible environmental documentation formatted for clinical use, not real estate.
After You Submit
What happens next
01
Direct Response, Within 24 Hours
A real human from our team responds personally. No call center, no automated follow-up sequence.
02
Practitioner Conversation
A 20-30 minute call to understand your practice, your patient population, and the kinds of cases you typically see.
03
Referral Workflow Setup
If we're a fit, we set up a simple referral workflow so you can confidently send patients our way and receive reports back in a format that works for your charts.
Practitioner Intake Form
Tell us about your practice
The form below gives our practitioner liaison the information they need to respond meaningfully. All fields with an asterisk are required.
Prefer to talk live? Call us directly at (866) 807-5313 — mention you're a healthcare practitioner.